| NPI | 1164413787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM 6881) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 43064) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-07-30 |